Abstract：
BACKGROUND:Inequalities in health across social class, gender and regional context in Spain are well-known; however, there is a lack of research examining how these dimensions of inequality interact. This study explores self-rated health (SRH) inequalities across intersectional positions of gender, social class and region, and the contribution of material and psychosocial factors to these inequalities. METHODS:Participants were drawn from the cross-sectional 2015 National Living Conditions Survey of Spanish residents aged 19-88 years (N = 27,215; 77% response rate). Eight intersectional positions were formed by combining dichotomous variables of gender, social class and regional development. Poisson regression was used to estimate intersectional inequalities in SRH as prevalence ratios, and the contributions of material and psychosocial factors. RESULTS:Results showed both cumulative and heterogeneous inequalities within and across intersectional positions. Inequalities in the intersection of social class and regional development were best explained by the joint contributions of material and psychosocial factors, while gender inequalities within non-manual social class were better explained by material factors alone. CONCLUSIONS:The results illustrate the complexity of interacting inequalities in health and their underpinnings in Spain. Local and national policies taking this complexity into account are needed to broadly improve equity in health in Spain.
journal_name
Int J Equity Healthjournal_title
International journal for equity in healthauthors
Pedrós Barnils N,Eurenius E,Gustafsson PEdoi
10.1186/s12939-020-01202-7subject
Has Abstractpub_date
2020-06-05 00:00:00pages
85issue
1issn
1475-9276pii
10.1186/s12939-020-01202-7journal_volume
19pub_type
杂志文章abstract：BACKGROUND:Despite the centrality of health personnel to the health of the population, the planning, production and management of human resources for health remains underdeveloped in many low- and middle-income countries (LMICs). In addition to the general shortage of health workers, there are significant inequalities ...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-017-0575-1
更新日期：2017-06-30 00:00:00
abstract：BACKGROUND:Healthy eating behaviour is an essential determinant of overall health. This behaviour is generally poor among people at risk of experiencing food insecurity, which may be caused by many factors including perceived higher costs of healthy foods, financial stress, inadequate nutritional knowledge, and inadequ...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-019-1077-0
更新日期：2019-11-27 00:00:00
abstract：BACKGROUND:Although government has implemented medical-aid policy that provides assistance to the poor with almost free medical services, there are low-income people who do not receive necessary medical services in Korea. The aim of this study is to highlight the characteristics of Medical-Aid enrollees, the poor not e...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-015-0257-9
更新日期：2015-11-14 00:00:00
abstract：BACKGROUND:An important health issue in urban areas is how changes arising from the regeneration of city-areas affect social determinants of health and equity. This paper examines the impacts attributable to a new fish market and to delays in the regeneration of a port area in a deteriorated region of the Bay of Pasaia...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-016-0424-7
更新日期：2016-09-15 00:00:00
abstract：BACKGROUND:Financial stress is a barrier to successful smoking cessation and a key predictor of relapse. Little is known about the financial situation of low-income Australian daily smokers. This study aims to describe and investigate associations between the financial functioning, tobacco use and quitting behaviours o...
journal_title：International journal for equity in health
pub_type： 杂志文章,随机对照试验
doi：10.1186/s12939-017-0643-6
更新日期：2017-08-30 00:00:00
abstract：BACKGROUND:The theory of fundamental causes explains why health disparities persist over time, even as risk factors, mechanisms, and diseases change. Using an intersectional framework, we evaluated multifactorial discrimination as a fundamental cause of mental health disparities. METHODS:Using baseline data from the P...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-017-0532-z
更新日期：2017-03-04 00:00:00
abstract：BACKGROUND:Mobile Clinics represent an untapped resource for our healthcare system. The COVID-19 pandemic has exacerbated its limitations. Mobile health clinic programs in the US already play important, albeit under-appreciated roles in the healthcare system. They provide access to healthcare especially for displaced o...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-020-01175-7
更新日期：2020-05-19 00:00:00
abstract：BACKGROUND:Chronic diseases are more prevalent and occur at a much younger age in Aboriginal people in Australia compared with non-Aboriginal people. Aboriginal people also have higher rates of unplanned hospital readmissions and emergency department presentations. There is a paucity of research on the effectiveness of...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-018-0776-2
更新日期：2018-05-18 00:00:00
abstract：OBJECTIVE:Prior to 2007, forced sex with male children in South Africa did not count as rape but as "indecent assault", a much less serious offence. This study sought to document prevalence of male sexual violence among school-going youth. DESIGN:A facilitated self-administered questionnaire in nine of the 11 official...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/1475-9276-7-20
更新日期：2008-07-29 00:00:00
abstract：BACKGROUND:Family planning and maternal care services have become increasingly available in West Africa but the level of non-use remains high. This unfavorable outcome may be partly due to the unaffordability of reproductive health care services. METHODS:Using the Demographic Health Survey data from Burkina Faso, Nige...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-020-01167-7
更新日期：2020-03-27 00:00:00
abstract：BACKGROUND:In 2004, The Kenyan government removed user fees in public dispensaries and health centers and replaced them with registration charges of 10 and 20 Kenyan shillings (2004 $US 0.13 and $0.25), respectively. This was termed the 10/20 policy. We examined the effect of this policy on the coverage, timing, source...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-020-1150-8
更新日期：2020-03-14 00:00:00
abstract：BACKGROUND:The evaluation of geographical healthcare accessibility in residential areas provides crucial information to public policy. Traditional methods - such as Physician Population Ratios (PPR) or shortest travel time - offer only a one-dimensional view of accessibility. This paper developed an improved indicator:...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-016-0411-z
更新日期：2016-08-02 00:00:00
abstract：BACKGROUND:In Tak province, Thailand migrants and refugees from Myanmar navigate a pluralistic healthcare system to seek Tuberculosis (TB) care from a variety of government and non-governmental providers. This multi-methods qualitative study examined access to TB, TB/HIV and multidrug-resistant tuberculosis (MDR-TB) tr...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-016-0391-z
更新日期：2016-07-07 00:00:00
abstract：BACKGROUND:Through a number of healthcare reforms, Kenya has demonstrated its intention to extend financial risk protection and service coverage for poor and vulnerable groups. These reforms include the provision of free maternity services, user-fee removal in public primary health facilities and a health insurance sub...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-019-1006-2
更新日期：2019-06-24 00:00:00
abstract：:Connecting knowledge with action (KWA) for health equity involves interventions that can redistribute power and resources at local, national, and global levels. Although there is ample and compelling evidence on the nature, distribution, and impact of health inequities, advancing health equity is inhibited by policy a...
journal_title：International journal for equity in health
pub_type： 杂志文章,评审
doi：10.1186/s12939-019-1108-x
更新日期：2019-12-26 00:00:00
abstract：:In the debate on 'Third options' for health care delivery in low- and middle-income countries it is proposed that self-help should play a larger role. Self-help is expected to contribute towards improving population health outcomes and reducing government health care expenditure. We review scope and limitations of sel...
journal_title：International journal for equity in health
pub_type： 社论
doi：10.1186/1475-9276-3-1
更新日期：2004-04-15 00:00:00
abstract：BACKGROUND:Childhood immunization is one of the most cost-effective interventions for child health. Still, many children are not able to receive completed immunization status. Wealth - related inequality in immunization is considered a major reason for equitable coverage of immunization in Pakistan. Therefore, we exami...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-018-0837-6
更新日期：2018-08-17 00:00:00
abstract：BACKGROUND:Inequity in use of physician services has been detected even within health care systems with universal coverage of the population through public insurance schemes. In this study we analyse and compare inequity in use of physician visits (GP and specialists) in Norway based on data from the Surveys of Living ...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/1475-9276-10-25
更新日期：2011-06-15 00:00:00
abstract：BACKGROUND:Mexico has undertaken important efforts to decrease maternal mortality. Health authorities have introduced intercultural innovations to address barriersfaced by indigenous women accessing professional maternal and delivery services. This study examines, from the perspective of indigenous women, the barriers ...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-015-0289-1
更新日期：2015-12-23 00:00:00
abstract：INTRODUCTION:Equity should be implicit within universal health coverage (UHC) however, emerging evidence is showing that without adequate focus on measurement of equity, vulnerable populations may continue to receive inadequate or inferior health care. This study undertakes a narrative review which aims to: (i) elucida...
journal_title：International journal for equity in health
pub_type： 杂志文章,评审
doi：10.1186/s12939-014-0072-8
更新日期：2014-10-10 00:00:00
abstract：BACKGROUND:Like most Central European countries Slovakia has experienced a period of socioeconomic changes and at the same time a decline in the mortality rate. Therefore, the aim is to study socioeconomic factors that changed over time and simultaneously contributed to regional differences in mortality. METHODS:The a...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-016-0404-y
更新日期：2016-07-19 00:00:00
abstract：BACKGROUND:The allocation of health resources in primary health care institutions (PHCI) is crucial to health reform. China has recently implemented many reform measures emphasizing the provision of primary health care services, with equity as one of the major goals. The aim of this study was to analyze the quantity, q...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-018-0896-8
更新日期：2018-12-04 00:00:00
abstract：BACKGROUND:Everyone has the right to achieve the standard of health and well-being. Migrants are considered as vulnerable populations due to the lack of access to health services and financial protection in health. Several interventions have been developed to improve migrant population health, but little is known about...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-019-0970-x
更新日期：2019-05-06 00:00:00
abstract：BACKGROUND:Hypertension has become a global health challenge given its high prevalence and but low awareness and detection. Whether the actual prevalence of hypertension has been estimated is important, especially for the poor. This study aimed to measure tested prevalence and self-reported prevalence of hypertension a...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-018-0796-y
更新日期：2018-06-15 00:00:00
abstract：BACKGROUND:At the beginning of 2007, health care reforms were implemented in Hungary in order to decrease public expenditure on health care. Reforms involved the increase of co-payments for pharmaceuticals and the introduction of co-payments for health care services. OBJECTIVE:The objective of this paper is to examine...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/1475-9276-11-36
更新日期：2012-07-24 00:00:00
abstract：BACKGROUND:Life expectancy initially improves rapidly with economic development but then tails off. Yet, at any level of economic development, some countries do better, and some worse, than expected - they either punch above or below their weight. Why this is the case has been previously researched but no full explanat...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-018-0832-y
更新日期：2018-08-13 00:00:00
abstract：BACKGROUND:In 2007 Uruguay began a reform in the health sector towards the construction of a National Integrated Health System (SNIS), based on public insurance with private and public provision. The main objective of the reform was to universalize access to health services. METHODS:Data comes from the first National ...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-020-01237-w
更新日期：2020-10-26 00:00:00
abstract：INTRODUCTION:The prevailing inequities in healthcare have been well addressed in previous research, especially screening program participation, but less attention has been paid to how to overcome these inequities. This paper explores a key factor of a successful improvement project: collaboration with local doulas to r...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-014-0062-x
更新日期：2014-08-09 00:00:00
abstract：BACKGROUND:Despite recent progress in improving access to maternal health services, the utilization of these services remains inequitable among women in developing countries, and rural women are particularly disadvantaged. This study sought to measure i) disparities in the rates of institutional births between rural an...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-019-1025-z
更新日期：2019-08-09 00:00:00
abstract：BACKGROUND:In the 2011 Rio Political Declaration on Social Determinants of Health, World Health Organization (WHO) Member States pledged action in five areas crucial for addressing health inequities. Their pledges referred to better governance for health and development, greater participation in policymaking and implem...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-018-0836-7
更新日期：2018-09-05 00:00:00
